Alicia Leandra Gonzales, LMP
NPI #1083946768 in Tumwater, Washington
Provider Information
- NPI Number
- 1083946768
- Entity Type
- Individual
- Name
- Alicia Leandra Gonzales, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Feb 5, 2010
- Last Updated
- Feb 8, 2010
Practice Location
- Address
- 5450 CUDA LN UNIT 102
- City
- Tumwater
- State
- Washington
- ZIP Code
- 98512-6942
- Phone
- (360) 349-3979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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